DR. SHELDON L GONTE MD
NPI 1588645097
Ophthalmology in Sterling Heights, MI

Q: What is Sheldon Gonte's NPI number?

The NPI number for Sheldon Gonte is 1588645097. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Q: What is Sheldon Gonte's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Sheldon Gonte was last updated on September 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 10, 2005PECOS EnrolledAccepts Medicare Assignment

83.85/100

CMS Quality Rating

42370 VAN DYKE AVE, SUITE 106, STERLING HEIGHTS, MI 48314(586) 268-4400(586) 268-2182 Get Directions Write a Review

NPPES record last updated: September 27, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Sheldon L Gonte Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHELDON L GONTE MD (NPI 1588645097) is an individual ophthalmology provider in Sterling Heights, Michigan, licensed in Michigan (4301051492) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (1987).

NPPES Registry Identity

NPI1588645097

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. SHELDON L GONTECredential: MD

Location Address42370 VAN DYKE AVE, SUITE 106Sterling Heights, MI 48314-3487

Mailing Address42370 Van Dyke Ave, Suite 106Sterling Heights, MI 48314-3487 · (586) 268-4400 · Fax (586) 268-2182

Phone(586) 268-4400

Fax(586) 268-2182

Sole ProprietorYes

Medical School CMSWayne State University School Of MedicineGraduated 1987

Enumeration DateNovember 10, 2005

Last NPPES UpdateSeptember 27, 2013

✔ NPI 1588645097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in MI · 4301051492

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

42370 VAN DYKE AVE, Sterling Heights, MI 48314

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Other Identifiers 3

Medicaid305484710MI

Medicare UPINE86612

Medicare ID-Type Unspecified0566889

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sheldon L Gonte Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567421480

PECOS Enrollment IDI20041006001266

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 20

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Microfluid analysis of tears 83861

Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.

1,107 services251 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

726 services319 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

332 services272 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

260 services250 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

209 services151 patients

Closure of tear duct opening using plug 68761

Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.

181 services132 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

116 services114 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

88 services87 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

86 services82 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

74 services74 patients

Ultrasound scan to determine eye length and lens power 76519

An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.

58 services37 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

48 services31 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

40 services39 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

37 services26 patients

Extended exam of the back part of the eye with retinal drawing 92201

This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.

33 services22 patients

Repair tear duct opening by heat, tying, or laser surgery 68760

This procedure involves fixing a blocked tear duct. A specialist may use heat, sutures, or laser surgery to open up the tear duct and allow tears to drain normally. This can alleviate symptoms such as excessive tearing or infection. It's a common and safe procedure.

30 services22 patients

Exam of visual field with intermediate testing 92082

An exam of the visual field with intermediate testing is a procedure that checks your peripheral (side) vision. It helps to identify blind spots which could be a sign of eye diseases. This non-invasive test is painless and quick.

20 services20 patients

Photography of content of eyes 92285

Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.

20 services20 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

12 services12 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48314 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.85/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Improvement Activities

Cost

29.51

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARNOLD J KOLLIN DDD, MAURICE S OPPERER DDS PC

Clinic/Center (Dental)

42370 VAN DYKE AVE
STERLING HTS, MI 48314

Macomb County (586) 254-3860

CRITTENTON RX LLC

Pharmacy (Community/Retail Pharmacy)

42370 VAN DYKE AVE, STE 105
STERLING HEIGHTS, MI 48314

Macomb County (313) 353-9257

DR. STEFAN GLOWACKI M.D.

Orthopaedic Surgery

42370 VAN DYKE AVE, SUITE 107
STERLING HEIGHTS, MI 48314

Macomb County (586) 991-0051

DR. MAURICE STEVE OPPERER DDS

Dentist (General Practice)

42370 VAN DYKE AVE, 101
STERLING HTS, MI 48314

Macomb County (586) 254-3860

RONALD J STEWART DO PC

Internal Medicine (Cardiovascular Disease)

42370 VAN DYKE AVE, STE 100
STERLING HTS, MI 48314

Macomb County (586) 254-1177

STEFAN GLOWACKI M.D.,P.C.

Orthopaedic Surgery

42370 VAN DYKE AVE, SUITE 107
STERLING HEIGHTS, MI 48314

Macomb County (586) 991-0051

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sheldon Gonte's NPI number?

The NPI number for Sheldon Gonte is 1588645097. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Sheldon Gonte located?

Sheldon Gonte practices at 42370 Van Dyke Ave Suite 106, Sterling Heights, MI 48314. The listed phone number is (586) 268-4400.

What is Sheldon Gonte's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Sheldon Gonte enrolled in Medicare?

Yes. Sheldon Gonte is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sheldon Gonte accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Sheldon Gonte as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sheldon Gonte was last updated on September 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.